Description

As a Denial Medical Coder, you will be responsible for analyzing and correcting denied medical claims. You will work closely with the billing and coding team to identify the reasons for denial and correct coding errors. Your role will be crucial in ensuring accurate medical coding and timely resubmission of claims to insurance companies. Responsibilities: Review denied medical claims to identify the reasons for denial. Ensure correct coding and make necessary adjustments to claims based on denial reasons. Collaborate with healthcare providers, insurance companies, and billing teams to resolve claim issues. Resubmit corrected claims to insurance companies after coding adjustments. Stay updated on insurance policies, coding rules, and regulations (e.g., ICD-10, CPT, HCPCS codes). Work with the coding team to ensure accurate and complete documentation for claims. Assist in identifying trends and patterns in claim denials and suggest improvements. Maintain accurate records of denied claims, resubmissions, and payments. Ensure compliance with healthcare regulations, confidentiality laws, and HIPAA guidelines. Prepare and submit reports on denied claims and resubmission status. Requirements: Educational Qualification: A bachelor's degree in healthcare administration, medical coding, or a related field (or equivalent). Certification: Certification in medical coding (e.g., CPC - Certified Professional Coder, or CCS - Certified Coding Specialist) is a plus but not mandatory for freshers. Skills: Knowledge of medical coding systems (ICD-10, CPT, HCPCS). Strong attention to detail and analytical skills. Good communication skills to effectively liaise with healthcare providers and insurance companies. Proficiency in using coding software and MS Office (Excel, Word). Ability to work under pressure and meet deadlines. Willingness to learn and grow in the medical coding field. Preferred Skills (Optional): Familiarity with medical terminology and anatomy. Understanding of healthcare insurance processes and billing procedures. Previous internship or training in medical coding or healthcare billing is a plus but not necessary for freshers. Benefits: Competitive salary and benefits. Opportunities for career growth and certification support. Training and mentoring for skill development. Friendly and collaborative work environment.

Role and Responsibilities

• Company: Practovat Technologies Job Title: Medical/Denial Medical Coder Job Location: Noida/Hyderabad/Chennai/Bangalore Job Type: Full-time Salary: 3LPA (0-2 years) Upto 10LPA (2-5 Years) Experience: .0-2 years - 2-5 years Job Description: As a Denial Medical Coder, you will be responsible for analyzing and correcting denied medical claims. You will work closely with the billing and coding team to identify the reasons for denial and correct coding errors. Your role will be crucial in ensuring accurate medical coding and timely resubmission of claims to insurance companies. Responsibilities: Review denied medical claims to identify the reasons for denial. Ensure correct coding and make necessary adjustments to claims based on denial reasons. Collaborate with healthcare providers, insurance companies, and billing teams to resolve claim issues. Resubmit corrected claims to insurance companies after coding adjustments. Stay updated on insurance policies, coding rules, and regulations (e.g., ICD-10, CPT, HCPCS codes). Work with the coding team to ensure accurate and complete documentation for claims. Assist in identifying trends and patterns in claim denials and suggest improvements. Maintain accurate records of denied claims, resubmissions, and payments. Ensure compliance with healthcare regulations, confidentiality laws, and HIPAA guidelines. Prepare and submit reports on denied claims and resubmission status. Requirements: Educational Qualification: A bachelor's degree in healthcare administration, medical coding, or a related field (or equivalent). Certification: Certification in medical coding (e.g., CPC - Certified Professional Coder, or CCS - Certified Coding Specialist) is a plus but not mandatory for freshers. Skills: Knowledge of medical coding systems (ICD-10, CPT, HCPCS). Strong attention to detail and analytical skills. Good communication skills to effectively liaise with healthcare providers and insurance companies. Proficiency in using coding software and MS Office (Excel, Word). Ability to work under pressure and meet deadlines. Willingness to learn and grow in the medical coding field. Preferred Skills (Optional): Familiarity with medical terminology and anatomy. Understanding of healthcare insurance processes and billing procedures. Previous internship or training in medical coding or healthcare billing is a plus but not necessary for freshers. Benefits: Competitive salary and benefits. Opportunities for career growth and certification support. Training and mentoring for skill development. Friendly and collaborative work environment.